Active NPI
Abigail McKenna, LSW
- Social Worker
- Hudson, OH
National Provider Identifier
1255936522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2207217
- Practice address
- 6616 Westpoint Dr
Hudson, OH 44236-1682 - Phone
- (216) 835-7222
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2207217 | OH | Primary |
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
6616 Westpoint Dr
Hudson, OH 44236-1682
Mailing address
2097 Samira Rd
Stow, OH 44224-3435
Phone (216) 835-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2207217 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1255936522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 SAMIRA RD",
"city": "STOW",
"state": "OH",
"postal_code": "442243435",
"telephone_number": "216-835-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6616 WESTPOINT DR",
"city": "HUDSON",
"state": "OH",
"postal_code": "442361682",
"telephone_number": "216-835-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "ABIGAIL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2207217",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.